Provider Demographics
NPI:1841676129
Name:ARMAND, STACEY LACOMBE (FNP-C)
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:LACOMBE
Last Name:ARMAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:STACEY
Other - Middle Name:LACOMBE
Other - Last Name:CAUSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5604 A COLISEUM BLVD.
Mailing Address - Street 2:RAPIDS PARISH HEALTH UNIT/OFFICE OF PUBLIC HEALTH
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303
Mailing Address - Country:US
Mailing Address - Phone:318-487-5270
Mailing Address - Fax:318-487-5557
Practice Address - Street 1:CONCORDIA PARISH HEALTH UNIT/OFFICE OF PUBLIC HEALTH
Practice Address - Street 2:905 MICKEY GILLEY AVE.
Practice Address - City:FERRIDAY
Practice Address - State:LA
Practice Address - Zip Code:71334
Practice Address - Country:US
Practice Address - Phone:318-757-8632
Practice Address - Fax:318-757-7654
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2399381Medicaid
LA2399381Medicaid